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Sample Record for 2024-03-20-20

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 994242 DEA: 042J7404 EFIS: 0415000010 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0.9/23.4
Work Description: REMOVE BRIDGES (PORTIONS), BRIDGE BARRIERS, CONCRETE BARRIERS, & HMA.
Location Description: SAN MATEO COUNTY AT VARIOUS LOCATIONS FROM UNIVERSITY AVENUE OVERCROSSING TO SIERRA POINT OFF RAMP OVERCROSSING
Contractor Name: Graniterock (Matt Christie)
Contractor Address: 5225 Hellyer Avenue, Suite #220, San Jose, CA 95138
Resident Engineer: Peter Lam Structure Rep.: Tyler Pinell

Sample Information

DIME Sample ID: 2024-03-20-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Hayward Field Laboratory
Sample Organization Contact: (510) 723-0168
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 03/20/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/20/2024
The quantity of what the sample constitutes: 47 cu ft
A brief description of the sample: AB
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A.R. Wilson - Aromas

Material Information

The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Loc 1 Univ Ave East End of Med Is UNB1 59+95
Where the material sample would have been placed if not sampled:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-03-20-20-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 03/20/2024
Date Tested: 03/20/2024
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.09
Highest adjust wet density 2.12
Relative compaction 99
% Moisture 2.0 %
Optimum Moisture 2.0 %

Test 2 of 2

DIME Test ID: 2024-03-20-20-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 03/20/2024
Date Tested: 03/20/2024
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 126978.00 g/cc
Average of Count or Density 42326.00 g/cc
Sum of Moisture Count 6961.00 g/cc
Average of Moisture Count 2320.00 g/cc
Count Ratio Density 2.09
Count Ratio Moisture 0.19
Calculated Percent Relative Compaction 98.5 %
Reported Percent Relative Compaction 99 %